“We may play with the VDO if we know some rules!”
An interesting and thought-provoking position paper on the thorny question of the how, when and by how much we can change the Vertical Dimension of Occlusion (VDO) appeared in the International Journal of Stomatology & Occlusion Medicine recently.
Written by a group of dentists from the South of France, there is an excellent discussion and some great illustrations of treated cases, both involving a decrease in VDO and a couple of cases requiring significant increase.
The full text of the article is here http://www.springerlink.com/content/980×123746515623/fulltext.pdf
Here’s a case I completed last year that nicely illustrates the issue of just how much you can increase VDO when you really have to, and it’s a lot more than most of us were taught was possible as undergraduates!
They don't get much more over-closed than this, so a huge increase in VDO is unavoidable
The finished case - you'll have to attend our ARS Course if you want to learn how to do this!
SDS Instructors
Roy Higson and Andy Lane
SDS Occlusion Blog 